Individual provider Active NPI

Irene Paulus, MBBS

  • Internal Medicine Physician
  • Amherst, NY
National Provider Identifier
1619933710
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
225987 Issued in NY
Practice address
1185 Sweet Home Rd
Amherst University Health Center
Amherst, NY 14226
Phone
(716) 689-0040
Fax
(716) 568-2330
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 225987 NY Primary

Addresses

Primary practice location

1185 Sweet Home Rd
Amherst University Health Center
Amherst, NY 14226

Mailing address

120 Gardenville Pkwy W
West Seneca, NY 14224-1324
Phone (716) 857-6150

Other identifiers 8

IdentifierTypeStateIssuer
P00216003OtherNYMEDICARE RAILROAD #
0125189OtherNYGHI #
159880BJOtherNYPREFERRED CARE #
000527164002OtherNYHEALTH NOW BCBS #
0492653OtherNYIHA #
00026128701OtherNYUNIVERA #
040426002902OtherNYFIDELIS #
225987-7WOtherNYWORKERS COMP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1619933710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GARDENVILLE PKWY W",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241324",
            "telephone_number": "716-857-6150",
            "fax_number": "716-656-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 SWEET HOME RD",
            "address_2": "AMHERST UNIVERSITY HEALTH CENTER",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-689-0040",
            "fax_number": "716-568-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "IRENE",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "P00216003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI #",
            "identifier": "0125189",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE #",
            "identifier": "159880BJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW BCBS #",
            "identifier": "000527164002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA #",
            "identifier": "0492653",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA #",
            "identifier": "00026128701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS #",
            "identifier": "040426002902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP #",
            "identifier": "225987-7W",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.